Piney Valley
135 Southern Drive, Keyser, WV 26726


Piney Valley is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 515122. The address is 135 Southern Drive, Keyser, WV 26726. The zip code is 26726. The phone number is 3047883415.


Piney Valley · 135 Southern Drive, Keyser, WV 26726

Federal Provider Number 515122
Provider Name PINEY VALLEY
Address 135 SOUTHERN DRIVE
KEYSER, WV 26726
Phone Number 3047883415
SSA County Code 280
County Name Mineral
Ownership Type For profit - Corporation
Certified Beds 122
Certified Beds Residents 109
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name KEYSER CENTER LLC
Date First Approved to Provide Medicare Medicaid Services 05/01/1993
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 3
Health Inspection Rating 3
Quality Measure Rating 4
Staffing Rating 2
RN Staffing Rating 2
Reported CNA Staffing Hours per Resident per Day 2.58899
Reported LPN Staffing Hours per Resident per Day 0.73211
Reported RN Staffing Hours per Resident per Day 0.58853
Reported Licensed Staffing Hours per Resident per Day 1.32064
Reported Total Nurse Staffing Hours per Resident per Day 3.90963
Reported Physical Therapist Staffing Hours per Resident Per Day 0.14954
Expected CNA Staffing Hours per Resident per Day 2.60134
Expected LPN Staffing Hours per Resident per Day 0.71453
Expected RN Staffing Hours per Resident per Day 1.21321
Expected Total Nurse Staffing Hours per Resident per Day 4.52908
Adjusted CNA Staffing Hours per Resident per Day 2.44205
Adjusted LPN Staffing Hours per Resident per Day 0.85042
Adjusted RN Staffing Hours per Resident per Day 0.36247
Adjusted Total Nurse Staffing Hours per Resident per Day 3.47959
Cycle 1 Total Number of Health Deficiencies 7
Cycle 1 Number of Standard Health Deficiencies 7
Cycle 1 Health Deficiency Score 44
Cycle 1 Standard Survey Health Date 09/28/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 44
Cycle 2 Total Number of Health Deficiencies 7
Cycle 2 Number of Standard Health Deficiencies 7
Cycle 2 Health Deficiency Score 60
Cycle 2 Standard Health Survey Date 08/06/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 60
Cycle 3 Total Number of Health Deficiencies 12
Cycle 3 Number of Standard Health Deficiencies 12
Cycle 3 Health Deficiency Score 84
Cycle 3 Standard Health Survey Date 04/15/2014
Cycle 3 Number of Health Revisits 2
Cycle 3 Health Revisit Score 42
Cycle 3 Total Health Score 126
Total Weighted Health Survey Score 63
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Piney Valley

Owner Name Role Association Date
HAMPSON, SUE (Individual) MANAGING EMPLOYEE since 10/01/2015
HOLT, CYNTHIA (Individual) MANAGING EMPLOYEE since 10/01/2015
HUDSON, JESSICA (Individual) OFFICER since 10/01/2015
PACK, LAWRENCE (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
50%
since 10/01/2015
WHITE, STEVEN (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
50%
since 10/01/2015
WHITE, STEVEN (Individual) OFFICER since 10/01/2015

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